Organization Active NPI

Concerto Medical Group of Michigan, P.C.

  • Primary Care Clinic/Center
  • Detroit, MI
National Provider Identifier
1831433218
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CONCERTO MEDICAL GROUP OF MICHIGAN, P.C.
Practice address
7430 2ND Ave
Ste 210
Detroit, MI 48202-2739
Phone
(313) 748-4200
Fax
(313) 748-4186
NPI assigned
Nov 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Cindy Rita Becker, ESQ.
Title
Secretary
Phone
(949) 398-8413

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4704203621 MI
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

7430 2ND Ave
Ste 210
Detroit, MI 48202-2739

Mailing address

7430 2ND Ave
Ste 210
Detroit, MI 48202-2739
Phone (313) 748-4200

Other identifiers 1

IdentifierTypeStateIssuer
1831433218MedicaidMI

Other names 1

  • FSC of Michigan Group, PC; FSC of Michigan PC Group, Inc.: Former legal business name

National Provider Directory

National Provider Directory

Locations

7430 2nd Ave
Ste 2
Detroit, MI 48202
Phone (313) 748-4200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1831433218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 2ND AVE",
            "address_2": "STE 210",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022739",
            "telephone_number": "313-748-4200",
            "fax_number": "313-748-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 2ND AVE",
            "address_2": "STE 210",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022739",
            "telephone_number": "313-748-4200",
            "fax_number": "313-748-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERTO MEDICAL GROUP OF MICHIGAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-25",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "RITA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-398-8413",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4704203621",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831433218",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FSC of Michigan Group, PC; FSC of Michigan PC Group, Inc.:",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.